Organization Active NPI

Carter'S Adult Care Facilities

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1992897557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CARTER'S ADULT CARE FACILITIES
Practice address
8505 Plymouth Rd
Detroit, MI 48204-1905
Phone
(313) 933-1956
Fax
(313) 891-8019
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theodoshia Careter
Title
Ceo
Phone
(313) 933-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

8505 Plymouth Rd
Detroit, MI 48204-1905

Mailing address

8505 Plymouth Rd
Detroit, MI 48204-1905
Phone (313) 933-1956

Other identifiers 3

IdentifierTypeStateIssuer
2939344MedicaidMI
0334622MedicaidMI
0334570MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Carter'S Adult Care Facilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8505 Plymouth Rd
Detroit, MI 48204
Phone (313) 933-1956

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992897557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041905",
            "telephone_number": "313-933-1956",
            "fax_number": "313-891-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041905",
            "telephone_number": "313-933-1956",
            "fax_number": "313-891-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER'S ADULT CARE FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARETER",
        "authorized_official_first_name": "THEODOSHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-933-1956"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939344",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334622",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.